Purpose This study aimed to develop the progressive lower-extremity exercise program for patients with total knee replacement arthroplasty and to evaluate its effectiveness on knee functions.
Methods: A non-equivalent quasi-experimental design with matching sample was used. The control group was recruited prior to the experimental group with the matched inclusion criteria for age, gender, and duration of osteoarthritis. The experimental group (n=34) participated in the 8-week progressive lower-extremity exercise program and completed both pretest and posttest with the dropout rates of 15%. The control group (n=35) received conventional exercise intervention during the study period with the dropout rates of 17.5%. Outcome measures were days to achieve possible range of motion, lower-extremity strength, and knee symptoms and function. Data were collected from April, 2019 to March, 2020 and analyzed with a x2 test, independent t-test, and repeated measures ANOVA using SPSS/WIN V. 23.0.
Results: The progressive lower-extremity exercise program consisted of pre-op education, post-op progressive exercise provided 2~3 times/day with progressive intensity and duration, followed by pre-discharge education. The study participants were 71.7 years old in average, mostly women, and having osteoarthritis for 9.3 years. The experimental group reported significant improvement in lower-extremity strength and knee symptoms and function compared to their controls after 8 weeks based on interaction effects. No significant interaction effect was found in days to achieve possible range of motion.
Conclusion: The progressive lower-extremity exercise program provided additional benefits over the conventional exercise to patients with total knee replacement arthroplasty. This program is easily applicable and useful as rehabilitation nursing strategies in this population.
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The Effects of a Self-Efficacy Theory-Based Exercise Program for Patients Undergoing with Total Knee Arthroplasty Kyung-Hye Park, Hee-Young Kang Journal of Korean Academy of Nursing.2024; 54(4): 547. CrossRef
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Purpose This study aimed to examine the effects of auricular acupressure on shoulder pain and shoulder joint Range of Motion (ROM) in older adults. Methods This is an experimental, single-blind, randomized study with a placebo-controlled approach. The participants were older adults with shoulder pain. Each group was assigned 27 participants. The experimental group received auricular acupressure on shoulder pain-related points and the placebo-control group received auricular acupressure on shoulder pain-unrelated points. The intervention was implemented for eight weeks. To validate the effects of the treatment, a Visual Analogue Scale (VAS), the Shoulder Pain and Disability Index (SPADI), Pressure Pain Thresholds (PPTs), and ROM were conducted. VAS was measured before and after every intervention. SPADI, PPTs, and ROM were measured at the beginning and end of every intervention. Results The VAS scores in the experimental group with auricular acupressure significantly decreased with time (p<.001) and SPADI scores also significantly decreased (p<.001) compared with the scores of the placebo-control group. The experimental group's PPTs for their upper trapezius, levator scapulae, and rhomboideus major increased significantly, compared to that of the placebo-control group. The experimental group's ROM of flexion, abduction, and external rotation increased significantly compared to the placebo-control group. but there were no significant differences in internal rotation. Conclusion Auricular acupressure, applied for eight weeks, was found to effectively reduce shoulder joint pain and shoulder ROM. Consequently, auricular acupressure can be used as a nursing intervention method to reduce joint pain and improve shoulder ROM in elders.
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PURPOSE The purpose of this study was to examine the effect of resistive exercise using an elastic band on range of motion, function and shoulder pain. METHODS Forty two subjects who had rotator cuff surgery were assigned either to a treatment or a comparison group, twenty one each. Following a six week period after surgery those in the treatment group participated in resistant exercise using an elastic band for four weeks. The subjects in the comparison group did not participate in the exercise program. The goniometer measured range of motion, a modified tool measured function, and a self report numerical rating scale measured pain. The data were analyzed using χ² test, Fisher's exact, t-test and the Mann-Whitney Test RESULTS: Although not statistically significant, there was a trend that more subjects in the treatment group had increased range of motion. There was a statistically significance among the treatment group in terms of increased function (p=.015). Further the treatment group reported less pain that those in the comparison group (p<.001). CONCLUSION The findings support that resistance exercise is an effective strategy for patients with rotator cuff repair.
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PURPOSE The purpose of this study was to investigate the effects of balance taping on pain and Range of Motion (ROM). ROM of the knee joint in the elderly with lower limbs arthritis. METHODS This study was a nonequivalent pretest-posttest design, quasi-experimental study. An experimental group of 35 elderly and a control group of 35 elderly were assigned. Subjects responses to the Visual analogue Scale (VAS) and range of motion scores as measured by a joint goniometer. Data were analyzed by, t-test and repeated measures ANOVA. RESULTS In the experimental treatment group, the pain score was significantly decreased from 6.46 to 2.09 after balance taping (p<.001). In addition, knee joint ROM of the experimental group was significantly increased from 114.80 to 121.92 after balance taping (p=.003, p<.001, p<.001). CONCLUSION This is a very important study as it is an excellent treatment that nurses can utilize and these data support the efficacy of the method.
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